| Family Service Foundation, Inc | |
|
5301 76th Ave Landover MD 20784-1703 | |
| (301) 459-2121 | |
| (301) 918-9757 |
| Full Name | Family Service Foundation, Inc |
|---|---|
| Speciality | Psychologist - Rehabilitation |
| Location | 5301 76th Ave, Landover, Maryland |
| Authorized Official Name and Position | Daphne Smith (BILLING MANAGER) |
| Authorized Official Contact | 3014592121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Service Foundation, Inc 5301 76th Ave Landover Hills MD 20784-1703 Ph: (301) 459-2121 | Family Service Foundation, Inc 5301 76th Ave Landover MD 20784-1703 Ph: (301) 459-2121 |
| NPI Number | 1457675548 |
|---|---|
| Provider Enumeration Date | 03/18/2010 |
| Last Update Date | 05/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457675548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | 4163 (Maryland) | Primary |
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